Ileoileocecal intussusception in an adult caused by a lipoma of the terminal ileum

. Michael A.; . Dourakis S.; Papanikolaou I.; Glynatsis M.; Vrakatselis T.; Hadziyannis S.

Authors . Michael A., . Dourakis S., Papanikolaou I., Glynatsis M., Vrakatselis T., Hadziyannis S..

Abstract

SUMMARY
Intestinal intussusception is a condition rarely observed in
adults. In these cases, clinical features are often atypical.
We report a 27-year-old white female who was admitted to
hospital due to severe colicky abdominal pain of 6 hours
duration. Physical examination revealed epigastric tenderness
without rigidity of the abdominal wall, rebound tenderness
or a palpable mass. Abdominal x-rays were normal.
Abdominal computed tomography demonstrated intestinal
intussusception. The diagnosis was confirmed by a
gastrografin enema. Laparotomy revealed an ileoileocecal
intussusception. The cause of the intussusception was a
lipoma located in the terminal ileum. In conclusion, the
clinical spectrum of intestinal intussusception in adults is
broad. In atypical cases, computed tomography can be of
diagnostic help.
Key words: Intestinal intussusception, lipoma, computed tomography, abdominal pain